Kirsten K Edmiston
Surgeon Surgical Oncologist
8081 Innovation Park Dr
Fairfax
, Virginia 22031-4867
Kirsten K Edmiston
Surgeon Surgical Oncologist
8081 Innovation Park Dr
Fairfax
, Virginia 22031-4867
(571) 423-5699
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Kirsten K Edmiston
- Po Box 37174
- Baltimore, MD
- Zip : 21297-3174
- Phone : (571) 423-5699
Second Address
- Kirsten K Edmiston
- 8081 Innovation Park Dr
- Fairfax, VA
- Zip : 22031-4867
- Fax : (571) 472-0241
- Phone : (571) 472-4724
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 0101055411 | VA |
| Y | 208600000X | Surgeon | 0101055411 | VA |
| N | 2086X0206X | Surgical Oncologist | 0101055411 | VA |
National Provider Identifier
| NPI | 1386630507 |
|---|---|
| Provider Name | Kirsten K Edmiston |
| First Address | Baltimore, MD 21297-3174 |
| Second Address | Fairfax, VA 22031-4867 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2005 |
| Last Update Date | 16/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7306521 | (05) | VA |
| F63415 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.